Individual
DR. LISA VEVA THOMASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1280 116TH AVE NE, SUITE 210, BELLEVUE, WA 98004-3803
(425) 646-0922
(425) 646-0925
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00033985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8212615
—
WA
Enumeration date
04/13/2006
Last updated
05/09/2022
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